DR. TYSEN L WEBER MD
NPI 1730673419
Pediatrics in Lewiston, ID

Q: What is Tysen Weber's NPI number?

The NPI number for Tysen Weber is 1730673419. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Tysen Weber's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tysen Weber was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2018PECOS Enrolled

2315 8TH ST, LEWISTON, ID 83501(208) 746-1383(208) 746-6348 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2021, Jun 18, 2018 (2 updates tracked since 2018).

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About Dr. Tysen L Weber Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYSEN L WEBER MD (NPI 1730673419) is an individual pediatrics provider in Lewiston, Idaho, licensed in Idaho (M-15702) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1730673419

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. TYSEN L WEBERCredential: MD

Location Address2315 8TH STLewiston, ID 83501-7301

Mailing Address2216 Vineyard AveLewiston, ID 83501-6352 · (208) 289-0425 · Fax (208) 568-9850

Phone(208) 746-1383

Fax(208) 746-6348

Sole ProprietorNo

Enumeration DateJune 18, 2018

Last NPPES UpdateApril 15, 20252 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1730673419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in ID · M-15702✔ Licensed in WA · MD61156866

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2315 8TH ST, Lewiston, ID 83501

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Secondary Practice Location 1

Location 12216 Vineyard AveLewiston, ID 83501-6352 · Phone (208) 289-0425 · Fax (208) 568-9850

Other Identifiers 2

Medicaid1730673419WA

Medicaid1730673419ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tysen L Weber Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tysen Weber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catalyst Medical Group, PLLC

Same address

Multi-Specialty

2315 8TH ST
Lewiston, ID 83501

Reassigned Medicare billing, Idaho enrollment
34 clinicians in this Medicare group

NPI 1912458787 (208) 746-1383

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALE CARASALI MD

Pediatrics